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8-K - FORM 8-K - Change Healthcare Holdings, Inc.d166231d8k.htm

Exhibit 99.1

 

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3055 LEBANON PIKE, SUITE 1000

NASHVILLE, TN 37215

Change Healthcare Reports First Quarter 2016 Results

 

    Solutions Revenue of $311.5 million, Increased 20.5% for First Quarter 2016

 

    Adjusted EBITDA of $96.3 million, Increased 9.9% for First Quarter 2016

NASHVILLE, Tenn. (May 10, 2016) – Change Healthcare Holdings, Inc., a leading provider of software and analytics, network solutions and technology-enabled services designed to enable smarter healthcare, today announced financial results for the three months ended March 31, 2016, as summarized below:

 

     Three Months Ended March 31,  
(In millions)    2016      2015      % Change  

Solutions revenue (exclusive of postage)

   $ 311.5       $ 258.4         20.5

Net income (loss)

   ($ 15.5    ($ 5.7      -168.9

Adjusted EBITDA

   $ 96.3       $ 87.6         9.9

“We are pleased with the overall growth in our business and remain focused on executing our long-term strategic goals,” commented Neil de Crescenzo, president and chief executive officer for Change Healthcare. “During the quarter, we continued to make progress in our integration efforts related to the Altegra Health acquisition which has further expanded our capabilities to better enable smarter healthcare.”

Solutions Revenue

First quarter solutions revenue was $311.5 million, an increase of 20.5%, compared to $258.4 million for the same period in 2015. This increase in solutions revenue as compared to the prior year period was primarily due to recently acquired solutions, including Altegra Health, and continued volume gains in network solutions as a result of increases in the number of insured lives of customers from the ongoing expansion of Medicaid, Medicare Advantage and federal and state exchanges.

Net Income/Loss

First quarter net loss was $15.5 million compared to $5.7 million for the same period in 2015. Net loss was primarily impacted by increased amortization and interest expense as a result of the Altegra Health acquisition and related financing.

Non-GAAP Adjusted EBITDA

First quarter Non-GAAP Adjusted EBITDA increased 9.9% to $96.3 million, or 30.9% of solutions revenue, from $87.6 million, or 33.9% of solutions revenue, for the comparable period in 2015. This increase in Adjusted EBITDA compared to the prior year period was primarily due to business growth, including the impact of acquisitions. Consistent with expectations, Non-GAAP Adjusted EBITDA decreased as a percentage of solutions revenue compared to the prior year period primarily due to changes in revenue mix as a result of the Altegra Health acquisition.


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3055 LEBANON PIKE, SUITE 1000

NASHVILLE, TN 37215

 

A reconciliation of Change Healthcare’s financial results determined in accordance with U.S. Generally Accepted Accounting Principles (GAAP) to certain Non-GAAP financial measures has been provided in the financial statement tables included in this release to supplement its unaudited condensed consolidated financial statements presented on a GAAP basis. An explanation of these Non-GAAP measures is also included below under the heading “Explanation of Non-GAAP Financial Measures.”

Balance Sheet

As of March 31, 2016, cash and cash equivalents were $47.9 million compared to $66.7 million as of December 31, 2015.

Total debt was $2.8 billion as of March 31, 2016 and December 31, 2015.

Cash Flow

Cash flow provided by operations totaled $12.2 million for the three months ended March 31, 2016 compared to $33.7 million for the same period in the prior year. Cash flow from operations for the three months ended March 31, 2016 was negatively impacted by delays in the collection of receivables as a result of customer administrative requirements following the corporate rebranding to Change Healthcare completed in the fourth quarter of 2015.

About Change Healthcare

Change Healthcare is a leading provider of software and analytics, network solutions and technology-enabled services that optimize communications, payments and actionable insights designed to enable smarter healthcare. By leveraging its Intelligent Healthcare NetworkTM, which includes the single largest financial and administrative network in the United States healthcare system, payers, providers and pharmacies are able to increase revenue, improve efficiency, reduce costs, increase cash flow and more effectively manage complex workflows. Learn more at www.changehealthcare.com.


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3055 LEBANON PIKE, SUITE 1000

NASHVILLE, TN 37215

 

Explanation of Non-GAAP Financial Measures

Change Healthcare’s management believes that, in order to properly understand Change Healthcare’s short-term and long-term financial trends, investors may wish to consider the impact of certain non-cash or non-operating items, when used as a supplement to financial performance measures prepared in accordance with U.S. Generally Accepted Accounting Principles (GAAP). Management uses results of operations before such excluded items to evaluate the operational performance of Change Healthcare as a basis for strategic planning and as a performance evaluation metric in determining achievement of certain executive and management incentive compensation programs. Investors should consider these Non-GAAP measures in addition to, and not as a substitute for, financial performance measures prepared in accordance with GAAP. In addition to the description provided below, reconciliations of GAAP to Non-GAAP results are provided in the financial statement tables included in this release.

In this release, Change Healthcare defines Adjusted EBITDA as EBITDA (which is defined as net income (loss) before net interest expense, income tax provision (benefit) and depreciation and amortization), plus certain other non-cash or non-operating items (collectively, “EBITDA Adjustments”).

To properly evaluate Change Healthcare’s business, Change Healthcare encourages investors to review the GAAP financial information included in this release, and not rely on any single financial measure to evaluate Change Healthcare’s business. Change Healthcare also strongly encourages investors to review the reconciliation of net income (loss) to the Non-GAAP measure of Adjusted EBITDA. Adjusted EBITDA, as Change Healthcare defines it, may differ from and may not be comparable to similarly titled measures used by other companies, because Adjusted EBITDA is not a measure of financial performance under GAAP and is susceptible to varying calculations. Adjusted EBITDA calculations also are used in Change Healthcare’s credit facilities and indentures, although the adjustments used to calculate Adjusted EBITDA as used in Change Healthcare’s credit facilities and indentures may vary in certain respects among such agreements and from those presented below.

Management uses Adjusted EBITDA to facilitate a comparison of Change Healthcare’s operating performance on a consistent basis from period to period that, when viewed in combination with Change Healthcare’s GAAP results, management believes provides a more complete understanding of factors and trends affecting Change Healthcare’s business than GAAP measures alone. Management believes this Non-GAAP measure assists Change Healthcare’s board of directors, management, lenders and investors in comparing Change Healthcare’s operating performance on a consistent basis because it removes where applicable, the impact of Change Healthcare’s capital structure, asset base, acquisition accounting, non-cash charges and non-operating items from Change Healthcare’s operating performance.


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3055 LEBANON PIKE, SUITE 1000

NASHVILLE, TN 37215

 

Forward-Looking Statements

Statements made in this press release that express Change Healthcare’s or management’s intentions, plans, beliefs, expectations or predictions of future events are forward-looking statements. These statements often include words such as “may,” “will,” “should,” “believe,” “expect,” “anticipate,” “intend,” “plan,” “estimate” or similar expressions. Forward-looking statements may include information concerning Change Healthcare’s possible or assumed future results of operations, including descriptions of Change Healthcare’s revenues, profitability, outlook and overall business strategy. You should not place undue reliance on these statements because they are subject to numerous uncertainties and factors relating to Change Healthcare’s operations and business environment, all of which are difficult to predict and many of which are beyond Change Healthcare’s control. Although Change Healthcare believes that these forward-looking statements are based on reasonable assumptions, you should be aware that many factors could affect Change Healthcare’s actual financial results or results of operations and could cause actual results to differ materially from those in the forward-looking statements. Such factors related to Change Healthcare’s actual financial results or results of operations include: effects of competition, including competition from entities that are customers for certain of Change Healthcare’s solutions; Change Healthcare’s ability to maintain relationships with its customers and channel partners; Change Healthcare’s ability to effectively cross-sell its solutions to existing customers and to continue to generate revenue and maintain profitability by developing or acquiring and successfully deploying new or updated solutions; the anticipated benefits from acquisitions (including Altegra Health) not being fully realized or not being realized within the expected time frames; and general economic, business or regulatory conditions affecting the healthcare information technology and services industries; as well as the other risks discussed in the “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” sections and elsewhere in Change Healthcare’s Annual Report filed on Form 10-K for the year ended December 31, 2015, as well as other reports filed by Change Healthcare with the Securities and Exchange Commission.

Forward-looking statements made by Change Healthcare herein, or elsewhere, speak only as of the date on which made. Change Healthcare expressly disclaims any intent, obligation or undertaking to update or revise any forward-looking statements made herein to reflect any change in Change Healthcare’s expectations with regard thereto or any change in events, conditions or circumstances on which any such statements are based.


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3055 LEBANON PIKE, SUITE 1000

NASHVILLE, TN 37215

 

Change Healthcare Holdings, Inc.

Condensed Consolidated Statements of Operations

(unaudited and amounts in thousands)

 

     Three Months     Three Months  
     Ended     Ended  
     March 31,     March 31,  
     2016     2015  

Revenue:

    

Solutions revenue

   $ 311,497      $ 258,412   

Postage revenue

     82,711        87,283   
  

 

 

   

 

 

 

Total revenue

     394,208        345,695   

Costs and expenses:

    

Cost of operations (exclusive of depreciation and amortization below)

     146,488        121,187   

Development and engineering

     14,792        10,825   

Sales, marketing, general and administrative

     67,628        48,262   

Customer postage

     82,711        87,283   

Depreciation and amortization

     61,127        48,114   

Accretion

     3,235        4,979   

Impairment of long-lived assets

     66        839   
  

 

 

   

 

 

 

Operating income (loss)

     18,161        24,206   

Interest expense, net

     46,622        38,008   

Contingent consideration

     —          (2,015
  

 

 

   

 

 

 

Income (loss) before income tax provision (benefit)

     (28,461     (11,787

Income tax provision (benefit)

     (13,005     (6,040
  

 

 

   

 

 

 

Net income (loss)

   $ (15,456   $ (5,747
  

 

 

   

 

 

 


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3055 LEBANON PIKE, SUITE 1000

NASHVILLE, TN 37215

 

Change Healthcare Holdings, Inc.

Condensed Consolidated Balance Sheets

(unaudited and amounts in thousands, except share and per share amounts)

 

     March 31,     December 31,  
     2016     2015  
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 47,893      $ 66,655   

Accounts receivable, net of allowance for doubtful accounts of $4,512 and $3,379 at March 31, 2016 and December 31, 2015, respectively

     315,351        280,858   

Prepaid expenses and other current assets

     46,963        35,413   
  

 

 

   

 

 

 

Total current assets

     410,207        382,926   

Property and equipment, net

     238,152        244,145   

Goodwill

     2,230,410        2,230,100   

Intangible assets, net

     1,673,028        1,707,863   

Other assets, net

     8,190        8,500   
  

 

 

   

 

 

 

Total assets

   $ 4,559,987      $ 4,573,534   
  

 

 

   

 

 

 
LIABILITIES AND EQUITY     

Current liabilities:

    

Accounts payable

   $ 33,352      $ 27,950   

Accrued expenses

     173,779        167,169   

Deferred revenues

     17,756        12,943   

Current portion of long-term debt

     27,601        32,775   
  

 

 

   

 

 

 

Total current liabilities

     252,488        240,837   

Long-term debt, excluding current portion

     2,739,626        2,741,178   

Deferred income tax liabilities

     415,556        430,383   

Tax receivable agreement obligations to related parties

     176,728        173,493   

Other long-term liabilities

     13,312        11,954   

Commitments and contingencies

    

Equity:

    

Common stock (par value, $.01), 100 shares authorized and outstanding at March 31, 2016 and December 31, 2015, respectively

     —          —     

Additional paid-in capital

     1,322,409        1,319,754   

Accumulated other comprehensive income (loss)

     (3,267     (2,656

Accumulated deficit

     (356,865     (341,409
  

 

 

   

 

 

 

Total equity

     962,277        975,689   
  

 

 

   

 

 

 

Total liabilities and equity

   $ 4,559,987      $ 4,573,534   
  

 

 

   

 

 

 


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3055 LEBANON PIKE, SUITE 1000

NASHVILLE, TN 37215

 

Change Healthcare Holdings, Inc.

Condensed Consolidated Statements of Cash Flows

(unaudited and amounts in thousands)

 

     Three Months     Three Months  
     Ended     Ended  
     March 31,     March 31,  
     2016     2015  

Operating activities

    

Net income (loss)

   $ (15,456   $ (5,747

Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:

    

Depreciation and amortization

     61,127        48,114   

Accretion

     3,235        4,979   

Equity compensation

     2,690        2,186   

Deferred income tax expense (benefit)

     (14,112     (7,149

Amortization of debt discount and issuance costs

     3,358        2,270   

Contingent consideration

     —          (2,015

Impairment of long-lived assets

     66        839   

Other

     44        —     

Changes in operating assets and liabilities:

    

Accounts receivable

     (34,959     5,254   

Prepaid expenses and other

     (11,132     (5,845

Accounts payable

     2,674        (3,653

Accrued expenses, deferred revenue and other liabilities

     14,629        (5,535
  

 

 

   

 

 

 

Net cash provided by (used in) operating activities

     12,164        33,698   
  

 

 

   

 

 

 

Investing activities

    

Purchases of property and equipment

     (14,204     (12,727

Payments for acquisitions, net of cash acquired

     —          (20

Purchases of technology-based intangible assets

     (6,761     (35
  

 

 

   

 

 

 

Net cash provided by (used in) investing activities

     (20,965     (12,782
  

 

 

   

 

 

 

Financing activities

    

Payments on Term Loan Facility

     (4,630     (3,620

Payments of deferred financing obligations

     (5,296     (4,680

Repurchase of Parent common stock

     (35     (2,438

Capital contribution from Investor Group and management

     —          804   

Payment of contingent consideration

     —          (5,553
  

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     (9,961     (15,487
  

 

 

   

 

 

 

Net increase (decrease) in cash and cash equivalents

     (18,762     5,429   

Cash and cash equivalents at beginning of period

     66,655        82,306   
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 47,893      $ 87,735   
  

 

 

   

 

 

 


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3055 LEBANON PIKE, SUITE 1000

NASHVILLE, TN 37215

 

Change Healthcare Holdings, Inc.

Reconciliation of GAAP Net Income to Adjusted EBITDA

(unaudited and amounts in thousands)

 

     Three Months     Three Months  
     Ended     Ended  
     March 31,     March 31,  
     2016     2015  

Net income (loss)

   $ (15,456   $ (5,747

Interest expense, net

     46,622        38,008   

Income tax provision (benefit)

     (13,005     (6,040

Depreciation and amortization

     61,127        48,114   
  

 

 

   

 

 

 

EBITDA

     79,288        74,335   
  

 

 

   

 

 

 

EBITDA Adjustments:

    

Equity compensation

     2,690        2,186   

Acquisition accounting adjustments

     319        443   

Acquisition-related costs

     1,608        837   

Transaction-related costs and advisory fees

     1,613        1,517   

Strategic initiatives, duplicative and transition costs

     3,508        957   

Severance costs

     2,305        2,104   

Accretion

     3,235        4,979   

Impairment of long-lived assets

     66        839   

Contingent consideration

     —          (2,015

Other non-routine, net

     1,634        1,379   
  

 

 

   

 

 

 

EBITDA Adjustments

     16,978        13,226   
  

 

 

   

 

 

 

Adjusted EBITDA

   $ 96,266      $ 87,561   
  

 

 

   

 

 

 


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3055 LEBANON PIKE, SUITE 1000

NASHVILLE, TN 37215

 

# # #

Contact:

Julie Loftus Trudell

Senior Vice President, Investor Relations

3055 Lebanon Pike, Suite 1000

Nashville, TN 37214

Direct: 615.932.3445

Cell: 757-642-1995

Email: jtrudell@changehealthcare.com